162 CULPEPER’s ENGLISH PHYSICIAN, 
neceflary here. “A feruple, or at moft half a‘drachm, of ipecacuanha, ‘is generally 
fufficient for an adult, and fometimes avery few grains will foffice. “The day after’ 
the vomit, half a drachm, or two fcruples, of rhubarb, muft be taken ; or, what will 
anfwer the purpofe rather better, an ounce or an ounce and a half of Epfom falts, 
This dofe may be repeated every other day for two or three times. Afterwards 
{mall dofes of ipecacuanha may betaken for fome time. Two or three’ grains of 
the powder may be mixed in a table-fpoonful of the fyrup of poppies, and taken! 
three times a-day. Thefe evacuations will often be fufficient to effec a cure, 
_ Should it happen otherwife, the following aftringent medicines may be ufed. Al 
clyfter of ftarch or fat mutton-broth, with thirty or forty drops of liquid laudanym: 
in it, may be adminiftered twice a-day. Ac the fame time an ounce of gum-arabic, 
and half an ounce of gum-tragacanth, may be diffolved in anEnglith pint of barley- 
water, over a flow fire, and a table-fpoonful of it taken every hour, When dy- 
fenteries prevail, we would recommend a ftrict attention to cleanlinefs, a fpare ufe 
of animal food, and the free ufe of found ripe fruits, and other vegetables, We 
would alfo advife fuch as are liable to them to take either a vomit or a purge every 
pa Te or Scie de as a preventive. 
Or tHE.J.AUNDICE, 
THE immediate caufe of the jaundice is an obftruction of the bile. The patient at 
firft complains of exceffive wearinefs, and has great averfion to every kind of mo- 
tion. ‘His fkin dry, and he generally feels a kind of itching or pricking pain over 
the whole body. If the patient be young, and the difeafe complicated with no other 
malady, it is feldom dangerous; but in old people, where it continues long, returns 
frequently, or is complicated with the dropfy or hypochondriac fymptoms, it gene- 
rally proves fatal. The black jaundice is generally more dangerous than the yellow. 
‘CURE..---The patient fhould takeas much exercife as he can bear, either on 
‘ horfeback orin a carriage ; walking, running, and even jumping, are likewife pro- 
Per, provided he can bear them without pain, and there be no fymptoms of inflam 
‘Patients have been often cured of this difeafe by a long journey, ‘after 
es had provedineffectual. If the patient be young, of a full fanguine ha- 
! complains of pain inthe right fide about the ; region of the liver, bleeding 
eceffary. Afterthis a vomit muft be adminiftered, and, if the difeafe proves 
obftinate, i itmay be repeated onceor twice. No medicines are more beneficial in the 
jaundice than vomits, efpecially where it is not attended with inflammation. Half 
adrachm of ipecacuanha in powder will bea fufficient dofe for an adult. Tr may . 
be wrought of with weak camomile-tea, or lukewarm water. Fomenting o the parts ts 
about the region ‘of —e and liver, and rubbing them with a a warm hand ‘ ‘a 
: fiefh- 
